Healthcare (Medicaid)

died · New Jersey · Senate Jun 15, 2026

S 2800: Provides comprehensive Medicaid benefits to certain individuals formerly in foster care.

This bill expands New Jersey Medicaid eligibility to include individuals who were formerly in foster care and are under 21 years old. It removes a previous barrier that required these individuals to meet "dependent child" criteria to qualify for Medicaid benefits. The change directly affects young adults aging out of foster care systems, ensuring they can access comprehensive medical coverage without meeting the standard dependent child requirement. The policy modifies existing Medicaid definitions to explicitly include this group as "qualified applicants" under state law.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid eligibility for foster care youth under 21, removing barriers to comprehensive healthcare access and improving coverage for vulnerable populations.95% confidence

Sub-Topics Medicaid

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in committee · New Jersey · Senate Jan 13, 2026

S 2325: Revises eligibility criteria for adult medical day care services.

This bill (S 2325) revises eligibility criteria for Medicaid-covered adult medical day care services in New Jersey. It makes Medicaid enrollees eligible if they: (1) require assistance with daily self-care tasks like dressing, bathing, or eating; (2) have a physician's recommendation; and (3) provide updated medical history and a recent physical exam report. The bill defines "adult medical day care" as community-based daytime programs (under 24 hours) offering health and social support to functionally or cognitively impaired adults, aiming to help them stay in community settings rather than institutions. These changes apply directly to Medicaid beneficiaries seeking this specific care option.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid eligibility for adult medical day care by adding physician recommendation and updated health documentation, increasing access to covered services.85% confidence

Sub-Topics Medicaid

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in committee · New Jersey · Senate Jan 13, 2026

S 915: Establishes pilot program to provide Medicaid coverage of remote maternal health services for eligible beneficiaries.

This bill establishes a voluntary, three-year pilot program in New Jersey to provide Medicaid-covered remote maternal health services for eligible pregnant beneficiaries. It allows access to tele-ultrasound, remote patient monitoring (like digital blood pressure checks), and remote non-stress tests via secure digital tools, with services offered only upon a healthcare provider's referral. Eligibility includes those with high-risk pregnancies (e.g., due to diabetes, age, or previous preterm births), residents in areas lacking obstetric providers, or individuals facing socioeconomic barriers like transportation issues. Participation is strictly voluntary and requires federal reimbursement approval before implementation.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid coverage for remote maternal health services, increasing access to tele-ultrasound and monitoring under public health program.95% confidence ✓ TechnologySupports TechnologyBill requires 'secure digital tools' for remote health services, indicating support for data privacy and cybersecurity in healthcare technology implementation.85% confidence

Sub-Topics Medicaid Telehealth Women's Health

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in committee · New Jersey · Senate Jan 13, 2026

S 560: Establishes pilot program to refer certain emergency department patients for development of coordinated behavioral health care treatment and support services plan.

This bill establishes a pilot program in New Jersey's Department of Human Services to improve behavioral health care coordination for emergency department patients. It requires two hospitals in each Regional Health Hub to refer patients with mild-to-moderate behavioral health issues (like anxiety, depression, or substance use not requiring inpatient care) to community-based treatment services. Regional Health Hubs will support hospitals in developing protocols for timely referrals, follow-up, transportation, and connecting patients to services like housing assistance or medication treatment. The program will be covered under Medicaid/NJ FamilyCare once necessary federal waivers are approved, with funding provided through existing Regional Health Hub mechanisms.

Topics ✓ HealthcareSupports HealthcareBill creates behavioral health referral pilot program to improve access to coordinated mental health services for ED patients, directly advancing mental health care access.95% confidence

Sub-Topics Hospitals Medicaid Mental Health

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in committee · New Jersey · Senate Jan 13, 2026

S 2815: Requires Medicaid coverage of social day care services for senior citizens.

This bill requires New Jersey's Medicaid program to cover social adult day care services for seniors aged 60 or older who meet the same clinical, income, and asset requirements as participants in the state's Medicaid long-term care program (MLTSS). It expands current coverage, which only applies to MLTSS enrollees, to all eligible seniors regardless of MLTSS enrollment. Social adult day care is defined as a community-based program providing non-medical support (like meals and supervision) during the day when caregivers are unavailable. The state must seek federal approval for implementation through Medicaid waivers before the coverage becomes active.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid coverage for senior day care services, increasing access to non-medical health support for seniors.95% confidence

Sub-Topics Long-Term Care Medicaid

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in committee · New Jersey · Senate Jan 13, 2026

S 777: Increases Medicaid reimbursement for in-person partial care and intensive outpatient behavioral health and substance use disorder treatment services, and associated transportation services, for adults.

This bill increases Medicaid payment rates for specific behavioral health services provided to adults in New Jersey. It raises reimbursement rates for in-person partial care (20+ hours/week) and intensive outpatient services (9+ hours/week) by 35%, covering costs like counseling, psychiatric evaluations, and medical services. It also sets a minimum $10 reimbursement per one-way trip for transportation to these providers. The changes apply to adult Medicaid beneficiaries (21+) with severe mental illness or substance use disorders receiving these services, effective after the bill's enactment.

Topics ✓ HealthcareSupports HealthcareIncreases Medicaid reimbursement rates for behavioral health services by 35%, expanding access to mental health care for adults through higher provider payments and transportation support.95% confidence

Sub-Topics Medicaid Mental Health Substance Abuse

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in committee · New Jersey · Senate Jan 13, 2026

S 2264: Provides for voluntary contributions for taxpayers on gross income tax returns to support reproductive health care services.

S 2264 establishes the "New Jersey Reproductive Health Care Equitable Access Fund" within the state Treasury. Taxpayers can voluntarily add a contribution to their New Jersey gross income tax return to support this fund, with net contributions (after administrative costs) deposited into it. The Legislature would annually allocate all funds in the account equally to the three largest Medicaid reproductive health care providers in the state, requiring them to use the money to provide services (including pregnancy-related care and pregnancy termination) to low-income individuals who cannot afford them. The bill defines "reproductive health care services" broadly to cover medical, surgical, counseling, and referral services related to the human reproductive system. The bill was introduced in the Senate on January 13, 2026, and referred to the Health Committee.

Topics ✓ Budget & TaxesSupports Budget & TaxesVoluntary tax contributions fund reproductive health care services via state Treasury, directing tax revenue to public health programs.85% confidence ✓ HealthcareSupports HealthcareCreates fund to allocate tax contributions to reproductive health care providers, directly funding healthcare services per bill's purpose and allocation requirements.95% confidence

Sub-Topics Income Tax Medicaid Women's Health

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in committee · New Jersey · Senate Jan 13, 2026

S 1265: Provides for Medicaid coverage of certain home blood pressure monitors and cuffs for pregnant persons at risk for preeclampsia.

This bill (S 1265) adds coverage for home blood pressure monitors and cuffs under New Jersey's Medicaid program for pregnant individuals at risk of preeclampsia - a serious pregnancy condition involving high blood pressure. It directly affects low-income pregnant people who qualify for Medicaid and are identified as having elevated preeclampsia risk. The bill amends existing Medicaid rules to include these devices within "comprehensive maternity care," ensuring they are covered as part of standard prenatal services. This change requires the state to pay for the devices, reducing out-of-pocket costs for at-risk pregnant patients. The policy change specifically targets preventive monitoring to improve maternal health outcomes during pregnancy.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid coverage for home blood pressure monitors for high-risk pregnant patients, improving access to preventive care for preeclampsia management.95% confidence

Sub-Topics Medicaid Women's Health

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in committee · New Jersey · Senate Jan 13, 2026

S 1829: Establishes the "Food is Medicine NJ Pilot Program" in DHS; appropriates $5,000,000.

S 1829 establishes a three-year "Food is Medicine NJ Pilot Program" within New Jersey's Department of Human Services, appropriating $5 million to provide nutrition services to Medicaid recipients. The program directly serves up to 3,000 high-risk Medicaid participants with complex chronic conditions (like diabetes, heart failure, or obesity) through medically tailored meals, and an additional 7,000 at-risk Medicaid recipients via produce prescriptions and nutrition education. It requires a third-party evaluator to measure impacts on emergency room visits, hospitalizations, medication adherence, and Medicaid cost savings, with reports to the Legislature due within 18 months and at the program's conclusion. The bill aims to address diet-related chronic diseases - identified as leading causes of death and healthcare spending in New Jersey - by integrating nutrition interventions into the healthcare system.

Topics ✓ HealthcareSupports HealthcareAppropriates $5M for medically tailored meals and nutrition services to Medicaid recipients with chronic conditions, expanding access to healthcare through nutrition-based interventions.92% confidence

Sub-Topics Hospitals Medicaid

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in committee · New Jersey · Senate Jan 13, 2026

S 3006: Requires Medicaid coverage for fertility preservation services in cases of iatrogenic infertility caused by medically necessary treatments.

This bill (S 3006) would require New Jersey Medicaid to cover fertility preservation services (like egg or sperm freezing) for individuals who develop infertility as a direct result of medically necessary treatments, such as cancer therapy. It would specifically apply to New Jersey Medicaid beneficiaries who experience iatrogenic infertility (infertility caused by medical care) due to treatments deemed necessary by their healthcare providers. The bill amends existing Medicaid coverage rules to add these fertility preservation services to the list of covered medical benefits under the program. The bill was introduced on January 13, 2026, and referred to the Senate Health Committee for review.

Topics ✓ HealthcareSupports HealthcareMandates Medicaid coverage for fertility preservation services due to medical treatments, expanding reproductive healthcare access under public insurance programs.95% confidence

Sub-Topics Medicaid

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